| NPI | 1063216414 |
|---|---|
| Other Name | WILLIAM F. WILDER III |
| Entity Type | Organization |
| Authorized Contact | WILLIAM FRANK WILDER Owner 704-456-5901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-04-03 |