| NPI | 1821027988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC DEITCHMAN President 704-364-0452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 892) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 1074) |
| 103TF0200X Psychologist, Forensic (Licence: NC 2061) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C003965) | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |