NPI | 1184163925 |
---|---|
Entity Type | Organization |
Authorized Contact | HOLLISTER WOOTEN TROTT Psychologist/Owner 919-438-0060 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 4564) |
Enumeration Date | 2017-02-13 |
Last Update Date | 2022-07-23 |