| NPI | 1730243205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY DIANE LEAK President 919-218-7161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 251B00000X Case Management | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2011-01-07 |