| NPI | 1437652666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER WADSWORTH Owner/ Psychologist 205-612-7644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |