| NPI | 1508517012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA NINA THOMPSON Owner 205-531-6031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-01-16 |
| Last Update Date | 2022-01-16 |