NPI | 1962780171 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANY MICHELLE KUMPEL President 229-333-9632 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 54448) |
Enumeration Date | 2011-07-22 |
Last Update Date | 2012-02-29 |