| NPI | 1053755934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE HARDEN CEO/Manager 704-957-1846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: NC 192299) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-04-23 |