| NPI | 1871697888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM JONES President 704-332-4834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2024-01-29 |