| NPI | 1215203005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J VALENTINE President 919-779-3188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 1118) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |