| NPI | 1710490875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LAEUPPLE Owner 256-617-0608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL 23614) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2025-06-16 |