| NPI | 1700533536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS EMILIO BETANCOURT Chief Medical Officer 704-770-7027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-08-15 |