| NPI | 1285717413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALVIA G FRYE Business Office Manager 334-566-6022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2018-06-21 |