| NPI | 1538504238 |
|---|---|
| Doing Business As | ATRIUM HEALTH WAKE FOREST BAPTIST BEHAVIORAL MEDICINE - FSLR PEDIATRIC |
| Entity Type | Organization |
| Authorized Contact | RUSSELL MARS HOWERTON Sr VP Network Phys & Hs Cmo 336-716-1331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2024-02-05 |