| NPI | 1629258801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY S ADAMS President 910-254-4818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2010-07-28 |