| NPI | 1245008341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYA WIGGINS-JACKSON Licensed Psychologist 205-601-5008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |