| NPI | 1043456700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODY THOMAS Director Of It 704-644-4351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2018-06-28 |