| NPI | 1275783482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY C JUSTICE President 334-794-2113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |