| NPI | 1225459431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRITZ PAUL Owner 910-491-2636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2007-00446) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2014-02-06 |