| NPI | 1508857699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER ALAN KALTHOFF Owner/President 336-577-8041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 2749) |
| Enumeration Date | 2005-10-29 |
| Last Update Date | 2020-08-22 |