| NPI | 1285459172 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ASHLEY ROBINSON Nurse Practitioner 205-777-8864 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Additional Taxonomies | 251J00000X Nursing Care | 
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-11-18 | 
| Last Update Date | 2024-11-18 |