| NPI | 1639599582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA F GUY Director, Compliance 931-607-6513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2021-02-22 |