| NPI | 1114695384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE NUWAYHID Clinical Social Worker 256-361-9248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2021-09-02 |