NPI | 1447507165 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK DANIEL TATE Owner/ Therapist 256-335-7132 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AL 3062) |
Enumeration Date | 2012-08-13 |
Last Update Date | 2012-08-13 |