| NPI | 1174276513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUNIELLE THERESA ROMAN Chief Psychologist/CEO 910-378-9211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2022-03-28 |