| NPI | 1922752260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA D JOHNSON Director Of Operations 704-873-5661 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-02-07 |