| NPI | 1801419494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN P. BATTLE CEO 919-702-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-05-18 |