| NPI | 1194219931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELBERT ANDREW RUDISILL President 828-322-5915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QA0401X Family Medicine, Addiction Medicine | |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |