| NPI | 1588352546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIA A CHARNIN Ownder 704-578-0585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 104100000X Social Worker |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-04-27 |