| NPI | 1831177211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW K ZUKOWSKI CFO 252-847-4582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC H0104) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC H0104) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: NC H0104) | |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2024-09-12 |