| NPI | 1326284910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAPHNE TIMMONS Psychologist/Manager Of Corporation 704-364-4133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 1130) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 3216) |
| 1041C0700X Social Worker, Clinical (Licence: NC C001983) | |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2009-01-02 |