| NPI | 1164933768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA VANN Therapist/Owner 256-797-5492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: AL 2488) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-10-23 |