| NPI | 1629399894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA TAYLOR CHURCH Licensed Psychological Associate 704-663-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 1000) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2011-04-05 |