| NPI | 1487282620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN A CORNISH Co Owner, Licensed Psychologist 334-219-0425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2021-11-09 |