| 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 |