NPI | 1568838639 |
---|---|
Entity Type | Organization |
Authorized Contact | RAYMOND J OENBRINK President 828-785-1850 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: NC 2009-01584) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 01584) |
Enumeration Date | 2015-08-12 |
Last Update Date | 2023-05-23 |