| NPI | 1174220909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY M LEE Owner 334-791-5926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-06-13 |