| NPI | 1043171713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY O'QUINN WEST Owner 256-274-1271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-11-20 |
| Last Update Date | 2025-11-20 |