NPI | 1730350372 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN TAYLOR CFO 252-334-1536 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
Enumeration Date | 2008-03-21 |
Last Update Date | 2008-03-21 |