| NPI | 1144736075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE HEIDELBACH Owner 256-534-1189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AL 1780) |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |