| NPI | 1861838492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD EDWARDS VP Service Line 919-783-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |