| NPI | 1720401151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID HOFMANN CEO/Owner 910-939-4307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-31 |