| NPI | 1073906335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L. MOUNT President/CEO 336-298-8303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TA0700X Psychologist Adult Development & Aging | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |