| NPI | 1922137454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM V. VAN FLEET President 704-482-7395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 40033) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-07-24 |