| NPI | 1376707927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY LEE LANDRY Partner/ Manager 919-794-3919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2010-06-25 |