NPI | 1982243309 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT K MATLACK Owner/Clinical Director 910-323-1545 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2020-01-02 |
Last Update Date | 2020-01-02 |