| NPI | 1184192437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCY MCCLAIN Therapist 205-639-8081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |