| NPI | 1275313413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISA KENNEMER Counselor 256-578-7732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-04 |