| NPI | 1134389844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KOPPELMEYER President/CEO 704-873-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3272) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |