NPI | 1295768943 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN RONALD MONTELEONE President 704-503-3535 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 2846) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C004544) |
103T00000X Psychologist (Licence: NC 3953) | |
103T00000X Psychologist (Licence: NC 3660) | |
103T00000X Psychologist (Licence: NC 4444) | |
101YP2500X Counselor, Professional (Licence: NC 3328NCLPC) | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
101YP2500X Counselor, Professional (Licence: NC 12226) | |
Enumeration Date | 2006-07-08 |
Last Update Date | 2020-05-15 |