| NPI | 1497584684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA KING Owner 205-370-7859 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2026-04-30 |