| NPI | 1700325396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK A BROTHERTON Provider/Owner 205-329-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 497) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |