| NPI | 1508941238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY LAMM Office Manager 252-638-3881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5004) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |