| NPI | 1114144037 |
|---|---|
| Other Name | LPS AT CCC |
| Entity Type | Organization |
| Authorized Contact | LEN B LECCI Owner And Manager 910-962-7262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 3041) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |