| NPI | 1245561737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SMITH Owner 919-945-0503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NC 200101612) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-01-22 |