| 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 |