NPI | 1154428423 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTOR TUCKER President/CEO 256-830-2155 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
315P00000X Intermediate Care Facility, Intellectual Disabilities | |
385H00000X Respite Care | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2008-03-14 |