| NPI | 1205974466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E COSPER Executive Director 334-323-3206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |