| NPI | 1780766485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTY G. GRUBB Psychologist/President 910-686-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 1529) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: NC 1529) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 1529) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NC 1529) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2018-06-21 |