| NPI | 1932513223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH TABB President/Owner 919-233-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |