| NPI | 1164883534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNABELLE A KERIOTIS President 205-222-1241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AL 23482) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |