| NPI | 1588857619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER D ALLEN Partner 252-338-8821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC NCHSP0954) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC NCHSP0956) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2011-10-21 |