| NPI | 1174683650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA J. THOMAS Group Vice President 704-358-2714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC H0071) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC H0071) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NC H0071) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-03-17 |