| NPI | 1417960618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHIA HEWITT Executive Director 256-837-0332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AL 285) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AL 290) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |