| NPI | 1720386683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY CELLUCCI Clinic Director 252-737-4179 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 1018) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-03-02 |