| NPI | 1477939213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE WATKINS Billing/Crenditaling 336-659-8202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4128) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |