| NPI | 1891761060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY L CARPENTER Insurance/Secretary 919-739-0047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2010-09-13 |