| NPI | 1144733908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES TIMOTHY PRICE President 334-794-7887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AL 795) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |