| NPI | 1255154647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN LEVAN MURRY CEO 251-219-0965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2025-01-28 |