NPI | 1194945709 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA RENEE LEWIS Executive Director 828-438-6218 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 2549) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NC 0370) |
103TC0700X Psychologist, Clinical (Licence: NC 0370) | |
1041C0700X Social Worker, Clinical (Licence: NC C006909) | |
251S00000X | |
Enumeration Date | 2007-04-26 |
Last Update Date | 2022-05-26 |