| NPI | 1528515996 |
|---|---|
| Doing Business As | SOUTHSIDE PSYCHIATRY CLINIC |
| Entity Type | Organization |
| Authorized Contact | YONGBING L PU President 757-469-6003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101253996) |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2019-09-03 |