| NPI | 1184467920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHEKA M PULLIAM Clinical Mental Health Counselor 334-275-5136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-06-18 |