| NPI | 1740512219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK J QUIRK Secretary/Treasurer 256-534-8161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 833) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |