| NPI | 1841935202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W. WILSON Owner/Clinical Psychologist 205-616-3353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-04-30 |
| Last Update Date | 2023-09-06 |