| NPI | 1891002952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN KEITH STOUDMIRE President 704-841-3886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 200500827) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2012-11-21 |