| NPI | 1467082685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL LYNN HODGES Physician, Director 737-366-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2023-08-02 |