| NPI | 1265062350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL BOWMAN Clinical Psychologist 919-945-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |