| NPI | 1205642352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY SANDLIN Mental Health Counselor 205-381-6404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-04 |