| NPI | 1366730079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEMEKA LASHAY STALLWORTH Clinical Director/Co Owner 205-919-6327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| 101YP2500X Counselor, Professional (Licence: GA 005233) | |
| 101YP2500X Counselor, Professional | |
| 251B00000X Case Management | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2023-11-10 |