| NPI | 1205384245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY W THOMAS Principal 334-834-8158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AL 1789) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |