NPI | 1073056255 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBBY WILLARD CARTER Owner 256-999-0769 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL 3022) |
Enumeration Date | 2016-11-21 |
Last Update Date | 2016-11-21 |