| NPI | 1144777236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN E MCCAIN Licensed Psychologist 910-639-5848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 4994) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2024-01-12 |