| NPI | 1205385176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA KIRKLAND Chief Exectutive Officer 334-712-2720 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |