| NPI | 1467698738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLYU VILLANUEVA Business Manager 910-577-1264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2008-12-17 |