| NPI | 1639331572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE WAMBUI NYAMBURA Accounts Specialist 919-872-1178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist Health Service |
| Additional Taxonomies | 103TP2701X Psychologist Group Psychotherapy |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC0700X Psychologist Clinical | |
| 103TC1900X Psychologist Counseling | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TF0000X Psychologist Family | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-01 |