| NPI | 1578551487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L. HILKE Director/Psychologist 919-870-8151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 88) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 88) |
| 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) | |
| 103T00000X Psychologist (Licence: NC 1192) | |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2020-08-22 |