| NPI | 1528237179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA OLDHAM IKLE President 910-793-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 3302) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |