| NPI | 1740480516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE SURGEON President/Owner 910-272-0121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |