| NPI | 1174958730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS B NARCISSE Federal Programs Coordinator 334-215-3822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-13 |