| NPI | 1851815203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA L NEWELL Owner/Provider 205-777-8184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: AL 1-031253) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2018-03-17 |