| NPI | 1427227701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA SUSAN TORRES Owner 910-254-9914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology Neuromuscular Medicine (Licence: NC 34183) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2015-03-21 |