| NPI | 1417495979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTI DAWN KEEN Owner/Therapist 334-437-5742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL 3395) |
| Enumeration Date | 2017-02-05 |
| Last Update Date | 2017-02-05 |