| NPI | 1205354222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON REBEKAH FISEHR Licensed Counselor 256-810-7502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AL C2580A) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2022-07-21 |