NPI | 1467670885 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA F. JACKSON Clinic Director 205-348-5003 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AL 1322) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2020-08-22 |