| NPI | 1033448824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA FAYE JACKSON Owner, Clinical Psychologist 205-999-3701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AL 1322) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2009-12-08 |