| NPI | 1275687451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA A. SUMMERS Electronic Claims Administrator 256-245-1340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 251B00000X Case Management | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2014-07-18 |