| NPI | 1699381269 |
|---|---|
| Former Legal Business Name | INTEGRATIVE PSYCHOLOGICAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA EDEH Clinical Administrative Manager 336-676-4060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-09-19 |
| Last Update Date | 2024-11-21 |