| NPI | 1174034581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION JOHNSON CEO 334-356-4272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AL 201700215) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |