Organization
DIRECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER NARCISSE (DIRECTOR)
(334) 202-2825
Entity
Organization
Contact information
Practice address
256 COUNTY ROAD 45, THOMASVILLE, AL 36784-3725
(334) 992-4466
Mailing address
4301 FAIR MEADOW LN, PIKE ROAD, AL 36064-2603
(334) 202-2825
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/14/2014
Last updated
04/25/2014
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