| NPI | 1649408402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA KAYE LITTLE Nc & Qi & Training Dir 704-344-0491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2013-07-30 |