| NPI | 1316574031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI LEE SHELOW Psychologist 828-222-6048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2024-10-31 |