| 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, Psych/Mental Health | |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |