| NPI | 1215644620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAYLA NIEMANN Owner/Operator 256-203-6848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2025-04-23 |