| NPI | 1609070705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFIE POTTER President 919-465-3277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |