| NPI | 1306157888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LACOSTE CANTLEY President/Psychologist 704-841-1163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3520) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-06-29 |