NPI | 1205815685 |
---|---|
Entity Type | Organization |
Authorized Contact | JUGTA KAHAI President 910-457-0070 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 9900076) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC 4773) |
103T00000X Psychologist (Licence: NC 3068) | |
Enumeration Date | 2006-01-12 |
Last Update Date | 2012-11-20 |