| NPI | 1568522027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED POTTER Administrator 919-465-3277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |