| NPI | 1780015842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENIN J PETERS CEO 336-883-0029 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2013-02261) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2018-12-06 |