| NPI | 1336277540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI JOHSON Office Manager 334-702-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AL 19943) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-07-29 |