| NPI | 1114381290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LULA BRIDGES Q Substance Abuse Professional 334-399-3661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |