| NPI | 1285867952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANDREW SACK Medical Director 336-722-7266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 200100996) |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2024-07-01 |