| NPI | 1114362423 |
|---|---|
| Other Name | KIDS CENTRAL OF THE CAROLINAS, LLC |
| Entity Type | Organization |
| Authorized Contact | KAMILAH MCPHAIL MCKISSICK Clinical Director 704-369-2502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |