NPI | 1033495221 |
---|---|
Doing Business As | SOUTHEAST PSYCHIATRIC SERVICES |
Entity Type | Organization |
Authorized Contact | NANCY A GILLEY Authorized Official 334-712-1170 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2011-11-01 |
Last Update Date | 2020-12-22 |