| NPI | 1366014508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP SMITH Owner 205-583-6661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 2084P0805X | |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2022-07-03 |