| NPI | 1528113925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO MODESTO BIRD President 828-232-1994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: NC 9501494) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |