| NPI | 1720334204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS FORD LAYMON SVP 704-631-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2016-08-11 |