| 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 | 2024-08-19 |