| NPI | 1134807621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZA ANDERSON Alc/Owner 256-415-2947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-08-31 |