| NPI | 1053615377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA SWICK GALUSHA Licensed Psychologist 256-837-2127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AL 1641) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2010-12-29 |