| NPI | 1184987182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE MCAULEY HAMILTON Sole Proprietor 251-478-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AL 628) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |