| NPI | 1669601720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAN HUBBARD Manager 256-891-5102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL MD.29545) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AL MD.29545) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2009-07-10 |