| NPI | 1881212801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL FERGUSON Clinical Psychologist 334-226-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |