| NPI | 1871912667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN-RONEL CORBIER Owner 704-541-9117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NC 200601910) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2015-08-05 |