| NPI | 1730522699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI HARDIN Director Of Credentialing 256-288-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry | |
| 363LF0000X Nurse Practitioner Family | |
| 101YP2500X Counselor Professional | |
| 104100000X Social Worker | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2019-08-26 |