| NPI | 1225667124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE DAVIS BUTLER Owner/ President 256-337-7064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |