| NPI | 1952548091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAVEEN C THOMAS Owner 910-343-6890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 200301421) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |