| NPI | 1629247929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MICHAEL COLLIGAN Business Manager 910-455-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 1599735) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |