| NPI | 1689471716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA KLUG Owner 205-577-7206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 101Y00000X Counselor | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2026-01-14 |