| NPI | 1700591047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRISSEL M LLOYD Owner 910-476-3992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 103TH0004X Psychologist, Health | |
| 103TH0100X Psychologist, Health Service | |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2023-01-20 |