| NPI | 1033210521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS W. GILLIKIN Consultant 252-353-7162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 13542) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |