NPI | 1154294908 |
---|---|
Entity Type | Organization |
Authorized Contact | NOVIA WRIGHT CEO 256-207-8187 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2025-09-27 |
Last Update Date | 2025-10-10 |