| NPI | 1063022101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA MARIE STEELMAN Authorized Official 704-506-6267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2023-11-20 |