| NPI | 1376919811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON ALBERT President 910-707-3770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2010-01774) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2021-10-15 |