| NPI | 1417093766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY R NEWSOM Owner 205-553-9171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AL 21330) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-11-05 |