| NPI | 1790004208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON ELIZABETH GARRETT Chief Operating Officer 336-992-0429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NC 200201030) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2010-05-24 |