| NPI | 1588384572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIAN DUKE-SUI Owner 919-233-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2022-08-30 |