| NPI | 1376093591 |
|---|---|
| Doing Business As | PSYCHIATRY, LAKEVIEW CHILD & FAMILY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER T FREDERICK CFO 919-620-4918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2022-05-18 |