| NPI | 1518074293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE MICHELLE MONTGOMERY CEO 704-832-3760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NC 1332) |
| 103TH0100X Psychologist, Health Service (Licence: NC 1195) | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TP0814X Psychologist, Psychoanalysis | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2009-12-14 |