| NPI | 1588698559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA K BOYER Owner 704-442-1655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 9300426) |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NC 9300426) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |