| NPI | 1992947766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL A ONAFOWOKAN Medical Director 704-771-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NC 200401292) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2020-08-03 |