| NPI | 1083080618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY PAYTON Owner 256-683-1692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL 251S00000X) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |