| NPI | 1871783894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED POTTER Administrator 919-465-3277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2008-04-24 |