| NPI | 1679365928 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | PATRICK CONAN TAPIA Medical Doctor 205-381-4383 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry | 
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | 
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-05-21 | 
| Last Update Date | 2025-05-27 |