| NPI | 1144071986 |
|---|---|
| Doing Business As | HEAD SPACE THERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | JUDY CAROL PARK Psychologist Clinical 256-501-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-03-29 |