NPI | 1295854750 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD J. VALENTINE Director 919-779-3188 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 1118) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC 1118) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2012-03-20 |