| NPI | 1558145052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA D DREILING Clinical Director 256-436-5867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2023-08-24 |