| NPI | 1144651050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA FAYE JACKSON President 205-565-1694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AR 12-19P) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2014-05-02 |