| NPI | 1306222013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET E. JACKSON S Lpc 205-271-2584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL 1661) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |