| NPI | 1366613663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MALCOLM CRANDELL President 336-918-4882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 23500) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |