| NPI | 1174541957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED MEHOLLIN Administrator 205-836-9923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AL 186762) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |