| NPI | 1922261189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHAN FREDRICK BAUM Owner/Physician 919-732-2897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |