NPI | 1184789851 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACY ANNE WARE Partner 919-338-2940 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 2789) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC c002866) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2002-01419) | |
Enumeration Date | 2006-12-23 |
Last Update Date | 2020-08-22 |