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 |