| NPI | 1912236779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN ADAMS CEO, President 251-824-8602 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI 961) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2010-01-05 |