| NPI | 1194962548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH PORRAS KANTROWITZ Accounts Receivable 704-536-0375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2017-12-13 |