| NPI | 1871612085 |
|---|---|
| Doing Business As | ITS FUN |
| Entity Type | Organization |
| Authorized Contact | DONNA RAE VAUGHT Owner 910-471-9353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 2212) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |