| NPI | 1013428531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA KING Owner 256-533-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AL 7338) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2021-01-30 |