| NPI | 1295223527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ANDERSON CEO 334-676-3773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2020-07-20 |