NPI | 1639471469 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMMIE NOEL RAINEY Licensed Psychologist 704-408-3703 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2010-11-30 |
Last Update Date | 2011-11-16 |