| NPI | 1841378296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID K MERTZ Managing Physician 336-228-8316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-01-14 |