| NPI | 1801062674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE L CANTLEY President 704-841-1163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3520) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |