| NPI | 1437570835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMSHER AHLUWALIA CEO 336-570-0104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2014-01-02 |