| NPI | 1235263419 |
|---|---|
| Doing Business As | MITCHELL'S PLACE - SOUTH SIDE |
| Entity Type | Organization |
| Authorized Contact | DARRELL W FITZGERALD Billing Director 205-957-0294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 225X00000X Occupational Therapist | |
| 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2024-05-23 |