| NPI | 1285013318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE TAYLOR Credentialing Coordinator 334-270-5502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2019-03-29 |