| NPI | 1841221272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL KELLEY President/Clinical Psychologist 334-821-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 607) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AL 578) |
| 103TC0700X Psychologist, Clinical (Licence: AL 181) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |