| NPI | 1407564289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER LEIGH LARSON Lpc 205-767-7461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-10 |