| NPI | 1467342907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCLYN WINDOM Principle Clinician/Owner 334-552-1846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-07 |