| NPI | 1417904137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL R KRASNER President 919-467-2876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 751) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2015-03-12 |