NPI | 1659706216 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA M ANTONIO Manager/Owner 205-612-0707 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 1707) |
Enumeration Date | 2013-09-13 |
Last Update Date | 2013-09-13 |