| NPI | 1689342636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKAOSA ONUMA ELEANYA Director 919-649-5138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2021-09-03 |