| NPI | 1669011565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DUNHAM Co Owner 336-909-5939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 207R00000X Internal Medicine | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2021-09-07 |