NPI | 1801150263 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDALYN PARKERSON CARPENTER Registered Agent/Member 336-293-4087 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 2640) |
Enumeration Date | 2012-06-30 |
Last Update Date | 2012-06-30 |