| NPI | 1336256890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE BOYD INGRAM Director 205-938-7663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AL 000297) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |