NPI | 1154621456 |
---|---|
Doing Business As | 360 PSYCH |
Entity Type | Organization |
Authorized Contact | VICKI F LAWRENSON Owner/Manager 334-386-0343 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2010-11-02 |
Last Update Date | 2010-11-02 |