| NPI | 1619639838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT LOUIS PASTORE Psychologist 704-677-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-06 |