| NPI | 1053734251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY E CAUDLE Cbo Director Of Patient Accounts 256-880-3339 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-28 |