NPI | 1033650965 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANY BELL Owner 567-208-0676 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 58003201) |
Enumeration Date | 2017-03-10 |
Last Update Date | 2017-03-10 |