| NPI | 1447843743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WELLS-MARSHALL Director 334-750-4189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251J00000X Nursing Care | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QP2400X Clinic/Center, Prison Health | |
| 373H00000X Day Training/Habilitation Specialist | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2023-04-11 |