| NPI | 1750576815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAVEEN JETTY Owner/M.D. 205-785-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |