| NPI | 1104799774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEY RENAE SAMANO Psychiatric Nurse Practioner 256-203-4058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-09-29 |