| NPI | 1619044997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER D SCHULZ President 919-629-7179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: NC 3176) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 3176) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2011-09-22 |