| NPI | 1215359856 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MARY CAUDLE Cbo Director Of Patient Accounts 256-880-3339  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2014-01-16 | 
| Last Update Date | 2014-01-17 |