| NPI | 1316551237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURWA NEEMAT NYIGU Medical Director 336-624-7164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2026-05-18 |