| NPI | 1558477257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE N. HARRISON-CHURCH Practice Manager 336-659-8301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |