| NPI | 1063912301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA JEAN WILLIAMS Owner, Md 334-954-6010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL MD.34291) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-02-13 |