| NPI | 1003279613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA COOPER Executive Director 334-749-2996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AL 671) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |