| NPI | 1689471716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA KLUG Owner 205-577-7206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 101Y00000X Counselor |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-04-22 |