NPI | 1003964016 |
---|---|
Entity Type | Organization |
Authorized Contact | RAVINDER MAMEDI President 252-537-8400 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 121198) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2012-08-15 |