| NPI | 1386662831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ALAN BURROW Vice President 336-495-2700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2010-04-21 |