| NPI | 1083976492 |
|---|---|
| Doing Business As | 360 PSYCH OF SOUTH ALABAMA |
| Entity Type | Organization |
| Authorized Contact | VICKI LAWRENSON COO 334-386-0343 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |