| NPI | 1386945186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY AUSTIN WILSON CEO/President 336-882-6549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |