| NPI | 1447089990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MATLOCK Owner 828-998-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |