| NPI | 1487594271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN KEITH STOUDMIRE Medical Director 704-906-9573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2026-03-31 |
| Last Update Date | 2026-04-07 |