| NPI | 1063718542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY NEWSOM Physician 205-349-1571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL 21330) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2015-09-17 |