| NPI | 1295756484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN PARKER Owner/President 919-677-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NC 940034) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 3270) |
| 103TC0700X Psychologist, Clinical (Licence: NC 0568) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C004670) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NC 9400344) | |
| 103TC0700X Psychologist, Clinical (Licence: NC 1700) | |
| 103TS0200X Psychologist, School (Licence: NC 102679) | |
| 106H00000X Marriage & Family Therapist (Licence: NC 1067) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 200100131) | |
| 103TC0700X Psychologist, Clinical (Licence: NC 1920) | |
| 103TS0200X Psychologist, School (Licence: NC 2475) | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2025-12-16 |