| NPI | 1609313311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN MARTIN Psychiatric Nurse Practitioner Owne 704-200-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC 5002313) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |