NPI | 1235406109 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA SABINA REDLAK-OLCESE Manager Owner 704-654-9760 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3208) |
Enumeration Date | 2011-11-21 |
Last Update Date | 2022-07-21 |