| NPI | 1063971091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDES DOTSON President/Owner/Doctor 251-444-5868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-05-31 |