NPI | 1578551487 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES L. HILKE Director/Psychologist 919-870-8151 |
Organization Subpart ? | No |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: NC 1192) |
Additional Taxonomies | 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) | |
103T00000X Psychologist (Licence: NC 1192) | |
101YM0800X Counselor, Mental Health (Licence: NC 88) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 88) | |
Enumeration Date | 2005-10-13 |
Last Update Date | 2025-09-11 |