| NPI | 1306628227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER MICHELLE HASTY MILLS Psychologist 256-714-4476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-10-16 |