| NPI | 1770747636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ANN ROCKWELL FLICK Liscensed Psychological Associate 919-259-0756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NC 1472) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |