| NPI | 1417418153 |
|---|---|
| Doing Business As | TAMI S. JORDAN |
| Entity Type | Organization |
| Authorized Contact | HEATHER MCCLENNY Office Manager 334-794-2113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-03-26 |