NPI | 1033522545 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN WILLIAMS Owner/ Clinical Director 256-682-2395 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: AL 2576) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: AL 2576) |
251B00000X Case Management (Licence: AL 2576) | |
Enumeration Date | 2014-06-03 |
Last Update Date | 2022-02-10 |