| NPI | 1427502558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJORIE LUGIBIHL Clinic Coordinator 704-733-9934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 238539) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 10040A) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2022-07-21 |