| NPI | 1730131863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A POWELL CEO/Clinical Psychologist 704-873-1697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 633) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |