| NPI | 1952662900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS L CARTER Office Adminstrator 910-391-4588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 22449) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-06 |