NPI | 1235312372 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN KOPPELMEYER President 704-873-1011 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 200000385) |
Enumeration Date | 2007-12-12 |
Last Update Date | 2007-12-12 |