| NPI | 1023660784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DASAMBIAGIO-MOORE Owner 205-737-4675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-12-30 |