| NPI | 1346429933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEADA LEE-TARVER Senior Psychologist 334-887-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AL 1436) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |