| NPI | 1245895697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA JAYOUSSI Executive Director Of Finance 919-350-6089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2020-07-01 |