| NPI | 1285053694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY FARLEY BROCK Assessment Therapist 205-422-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL 3258) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |