| NPI | 1346933561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYZANDRA LEIGH EXUM BOND Licensed Psychologist 252-493-6788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101Y00000X Counselor |
| 103K00000X Behavior Analyst | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 251S00000X | |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-14 |