| NPI | 1215454517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNYE BRAXTON Executive Director 334-289-2421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2023-07-10 |