| NPI | 1639603392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE BROOKE JACOME Psychologist 919-801-8805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 3564) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |