| NPI | 1083054399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THANDI KENYETTA MCCLAIN Executive Secretary/Therapist 205-919-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-07-01 |