| NPI | 1982243309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA CARTER Credentialing Specialist 910-323-1543 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2024-08-02 |