| NPI | 1649294083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JOHN GOODE President 336-761-0326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 15075) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |