| NPI | 1114008687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEJUAN SINGLETARY Owner 541-382-1395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OR MD26253) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-10-11 |