| NPI | 1306136403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WELLINGTON STEVENS Sole Mbr 205-381-2802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL 0958-2166C) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |