| NPI | 1508051350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJ L. PHOHA Psychologist 205-331-7781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL 000893) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |