| NPI | 1407128788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN ALLEN CROWELL Owner 205-478-2890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL 2323C) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-02-02 |