NPI | 1972652469 |
---|---|
Entity Type | Organization |
Authorized Contact | BEVERLY N JONES President 336-659-8817 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 93-00168) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 2110) |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NC 93-00168) | |
Enumeration Date | 2007-01-10 |
Last Update Date | 2007-10-05 |