| NPI | 1942401484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN WALTER KIRLEY Owner 336-766-7241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 20153) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C37095) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-11-15 |