| NPI | 1295285203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS C VAUGHANS Licensed Therapist 334-201-9146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AL AL2921) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: GA LPC008350) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |