Audrey Rae Maynor, M..ED., LPC Valid NPI
Individual provider · Psychiatric Residential Treatment Facility · Birmingham, AL
- NPI
- 1629388038
- Type
- Individual (Type 1)
- Primary specialty
- Psychiatric Residential Treatment Facility
- Specialty group
- Residential Treatment Facilities
- Taxonomy code
- 323P00000X
- License number
- 2238 (AL)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2010-10-19
- Last updated
- 2010-10-19
Practice location
150 Glenwood Ln
Birmingham, AL 35242-5700
(205) 795-3214