| NPI | 1972774362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART C TIESZEN Doctor 205-329-7805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL 0012918) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |