| NPI | 1346314366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES THOMAS NEVELS Owner 205-556-8391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: AL 00025226) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL 00025226) |
| 208D00000X General Practice (Licence: AL 00025226) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2013-09-17 |