| NPI | 1851681662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAL SHIGLEY Owner 919-909-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 613) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C006159) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-13 |