| NPI | 1457177388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIAMOND COLLEY Owner 256-325-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 235Z00000X Speech-Language Pathologist | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |