NPI | 1922280700 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID JOSEPH AHLBERG Owner 910-939-0724 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2007-12-03 |
Last Update Date | 2023-10-17 |