| NPI | 1578996252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BART FISER VP Managed Care And Revenue Cycle 910-615-5572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2024-09-30 |