| NPI | 1023441656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES C WELLS Director 478-745-5779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2017-05-08 |