| NPI | 1033489612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MATTHEW MIMS President 205-688-3303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AL 2043) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |