| NPI | 1194772442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LUCAS Authorized Official 205-871-6926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103G00000X Clinical Neuropsychologist | |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2021-08-11 |