| NPI | 1205587672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE DELAYNE THOMAS Counselor 205-704-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2022-01-17 |