NPI | 1740566280 |
---|---|
Entity Type | Organization |
Authorized Contact | BILLY R WEST Executive Director 704-939-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2011-10-28 |
Last Update Date | 2018-03-29 |