| NPI | 1407696768 |
|---|---|
| Other Name | PACC |
| Entity Type | Organization |
| Authorized Contact | CARMEN EDWARDS Clinical Psychologist 704-604-2371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2024-05-24 |