| NPI | 1952630949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMSHER SINGH AHLUWALIA President 336-908-1044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2009-00530) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC 121863) |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2013-02-06 |