| NPI | 1154689164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MIXON HARRIS Executive Director 205-447-0585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL 1796) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |