| NPI | 1003935198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOU VICK Executive Director 205-387-0562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-11-01 |