| NPI | 1649325788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA BURTON Director 205-752-5429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: AL PTH2409) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: AL 0207) | |
| 235Z00000X Speech-Language Pathologist, (Licence: AL 2078) | |
| 235Z00000X Speech-Language Pathologist, (Licence: AL 453) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |