| NPI | 1275026254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDERSON MARKHAM Owner 256-919-5021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: AL 3281) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health (Licence: AL 3281) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |