| NPI | 1154597656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE HERREN Accounting Director 334-742-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |