| NPI | 1134708597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLIN HARRIS Managing Director 334-312-9197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-04-05 |