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 |