| NPI | 1235319146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDY A SANTOSO Presidnet 828-324-4143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 26148) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-09 |