| NPI | 1477822815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN ELIZABETH AYCOCK President 919-833-5869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 30118) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |