| NPI | 1558793497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBHASH P PATEL Owner 704-854-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 9701100) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-02 |