| NPI | 1831130046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH R HERSH Vice President 919-419-0524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 2693) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |