NPI | 1578551487 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES L. HILKE Director/Psychologist 919-870-8151 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 88) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC 88) |
103T00000X Psychologist (Licence: NC 1192) | |
103TB0200X Psychologist Cognitive & Behavioral (Licence: NC 1192) | |
103TC0700X Psychologist Clinical (Licence: NC 1192) | |
103TC2200X Psychologist Clinical Child & Adolescent (Licence: NC 1192) | |
103TF0000X Psychologist Family (Licence: NC 1192) | |
103TS0200X Psychologist School (Licence: NC 1192) | |
Enumeration Date | 2005-10-13 |
Last Update Date | 2020-08-22 |