| NPI | 1083109995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH B FISER VP Managed Care & Corporate Revenue 910-615-5572 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |