| NPI | 1346618170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIESHA N BRYANT CEO/Clinical Director 334-444-6233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AL 813410) |
| Additional Taxonomies | 251B00000X Case Management (Licence: AL 813410) |
| 251V00000X Voluntary or Charitable (Licence: AL 813410) | |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2024-01-24 |