NPI | 1790812584 |
---|---|
Former Legal Business Name | ASHEBORO PSYCHIATRIC SERVICES |
Entity Type | Organization |
Authorized Contact | SWARUPARANI V GULLAPALLI Owner 336-626-9139 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 200401064) |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2007-02-27 |
Last Update Date | 2013-05-02 |