| NPI | 1225823537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYGE ORZEL Chief Clinical Director 704-412-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103T00000X Psychologist | |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-05-06 |