| NPI | 1669650073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN STOUDMIRE President 704-841-3886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 200500827) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |