NPI | 1235538901 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY RACHEL REBECCA REAVIS Psychologist 704-530-0850 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 4642) |
Enumeration Date | 2014-08-19 |
Last Update Date | 2014-08-19 |