| NPI | 1982313508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY PETIT President 205-200-5110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2025-07-10 |