| NPI | 1336524198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA CAMPBELL MARZETTE Owner 205-260-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL 2664) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-07-22 |