| NPI | 1407978570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA J HARDWICK Psychologist 910-485-1819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 2100) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2008-01-12 |