| NPI | 1588199764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOTT FITZPATRICK Clinical Psychologist 919-333-4620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 5006) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-06-13 |