| NPI | 1427295591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA J COOPER Executive Director 334-749-2996 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |