| NPI | 1144903691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA CLAIRE CROSBY Independent Contractor Counselor 256-397-9342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2023-08-10 |