| NPI | 1689098774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN HANNANT Owner 919-252-8896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 3681) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC 0389) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-06-10 |