| NPI | 1194918433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN PAULETTE PAYNE Owner 704-788-1572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 200703) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |