| NPI | 1326323239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL L WIENS Senior Vice President Operations 704-355-0648 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2013-01-25 |