| NPI | 1427256494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BARNARD O'DANIEL Owner 252-937-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 9700116) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2008-02-11 |