NPI | 1003239096 |
---|---|
Doing Business As | ATRIUM HEALTH WAKE FOREST BAPTIST BEHAVIORAL MEDICINE - EASTCHESTER |
Entity Type | Organization |
Authorized Contact | RUSSELL MARS HOWERTON Sr VP Network Phys & Hs Cmo 336-716-1331 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Enumeration Date | 2014-01-27 |
Last Update Date | 2023-11-08 |