| NPI | 1386590289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HAWTHORNE Billing Manager 205-997-2417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2026-03-05 |
| Last Update Date | 2026-03-05 |