| NPI | 1770056038 |
|---|---|
| Doing Business As | PEDIATRIC AND FAMILY BEHAVIORAL HEALTH PLLC |
| Entity Type | Organization |
| Authorized Contact | LUIS EMILIO BETANCOURT Partner 704-770-7027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 363A00000X Physician Assistant | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2023-06-29 |