| NPI | 1497258784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE HOLLAND Executive Director/Owner 256-739-5595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: AL 1195) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: AL 112206) |
| 251S00000X Community/Behavioral Health (Licence: AL 1195) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: AL 1195) | |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |