| NPI | 1023116910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA GREENE ADAMS Practice Manager 704-547-1483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 1067) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2022-07-14 |