| NPI | 1407908304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DEAN WILSON Owner 336-495-2700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2010-04-21 |