| 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 |