| NPI | 1124733191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM T ELKINGTON Provider/Doctor 334-547-0401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2023-01-13 |