| NPI | 1780976092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON WILEY YOUNG Managing Partner/Psychologist 919-741-1972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 3275) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 911) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |