NPI | 1588911184 |
---|---|
Entity Type | Organization |
Authorized Contact | GABRIELE DENISE JONES President 910-255-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 2716) |
Enumeration Date | 2012-08-14 |
Last Update Date | 2012-08-14 |