NPI | 1053501056 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANE SURGEON President 910-878-0121 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
Enumeration Date | 2007-07-26 |
Last Update Date | 2007-07-26 |