| NPI | 1649699091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER NARCISSE Director 334-202-2825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-25 |