| NPI | 1477748747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B DURHAM CEO 336-586-1925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: NC 2007-01201) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |