NPI | 1194062786 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE MARIE GIARMO Clinic Director/Member 336-625-2073 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3067) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 8874) |
Enumeration Date | 2013-01-16 |
Last Update Date | 2013-01-16 |