| NPI | 1437270774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH B THOMPSON Owner 704-482-6776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-01-03 |