| NPI | 1811537210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON AZEVEDO Owner 919-624-9561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |