| NPI | 1316444912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONA J GRAHAM Owner 334-792-6736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL MD.33645) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |