| NPI | 1588278139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD RUSSELL VEITS Authorized Official 251-633-9021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |