| NPI | 1154494060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD LUREY Owner 336-373-8947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 0482) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC C000691) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |