| NPI | 1841625530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARSHEEM CHAPMAN CEO 910-483-0324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |