| NPI | 1235218546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN ELLINGTON MCCANN Owner 910-471-4774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2005-01564) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |