| NPI | 1003368671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE Y PETTWAY President 256-724-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |