| NPI | 1245791631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY DAVIS CEO 205-200-5110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2020-07-24 |