NPI | 1073352167 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN MATLACK Administrative Director 910-323-1545 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
Enumeration Date | 2024-05-20 |
Last Update Date | 2024-07-10 |