| NPI | 1235184813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RICHARD SOWELL CEO 704-248-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 9700767) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NC 9700767) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2009-07-10 |