| NPI | 1811251119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE ALLEN POLLARD President 251-965-2145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AL AL20541) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2012-07-02 |