NPI | 1629108261 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID D. SCHAFTER Owner 334-356-1417 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL D0421) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 1452) |
101YP2500X Counselor, Professional (Licence: AL 2914) | |
101YM0800X Counselor, Mental Health (Licence: AL 2914) | |
Enumeration Date | 2007-03-06 |
Last Update Date | 2013-06-14 |