| NPI | 1205206604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL L MORAN Doctor 919-362-5406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: NC 200100579) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-12-07 |