| NPI | 1548418452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED GEORGE Psychologist 334-347-1862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL 143) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |