| NPI | 1124162466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDY NWANCHA CEO 919-323-4206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NC MLH-032-368) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |