| NPI | 1851037600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA K. LEWIS-YARBROUGH Licensed Psychologist 334-398-8516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2025-08-29 |