| NPI | 1740597608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORNA KATHLEEN ASCHBRENNER Director Of Operations 910-346-3744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 2112) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |