| NPI | 1447646500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA N DOULEH Licensed Psychologist 919-999-7385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 4660) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-04-15 |