| NPI | 1245521384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERLYN C. MCCLEOD Owner 334-702-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AL 25317) |
| Enumeration Date | 2011-04-24 |
| Last Update Date | 2011-04-24 |