| NPI | 1487788691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA C. SACCO Sole Member/Manager 919-523-7607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 1905) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2010-09-23 |