| NPI | 1285777599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE GEORGIA GALLAN Owner 910-815-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3018) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2015-01-13 |