| NPI | 1821474628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA THINGVOLL Owner 828-337-2590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NC 2008-00303) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-12-11 |