| NPI | 1760890537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA P DUFFEY Insurance Manager 334-288-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL MD 15148) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |