| 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 |