| NPI | 1508344672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ALOYSIUS MCDERMOTT CEO 205-287-5951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2022-03-03 |