| NPI | 1871142885 |
|---|---|
| Doing Business As | PROVIA CENTERS |
| Entity Type | Organization |
| Authorized Contact | HAROLD HONG Owner 919-308-0306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2020-03-05 |