| NPI | 1346420296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INEZ I. LEWIS Executive Office 334-868-0302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL 251S00000X) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |