| NPI | 1548006554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA CARDEN Authorized Official 336-343-5776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-16 |