| NPI | 1336753581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MCCLENNY Office Manager 334-796-7521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |