| NPI | 1558743047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BRANCH CEO/Clinical Director 205-792-4620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL 3011) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |