| NPI | 1215067681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JON RUNGE President 704-425-4791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 2580) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |