| NPI | 1326213224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE GIBSON A/R Manager 256-768-7457 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL DMH ISSUED) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |