| NPI | 1760891980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA NICOLE DOCKERY Credentialing Specialist 828-361-6739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2023-02-27 |