| NPI | 1558475319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA J COOPER Executive Director 334-749-2996 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AL 263 & 9425) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2008-08-21 |