| NPI | 1497230775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRON COLEY Co Owner 919-440-8162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |