| NPI | 1144352337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYCE WILLIAM KAYE Director 919-218-5948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: NC 642) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |