| NPI | 1598409310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET SCOTT PHILLIPS Medicaid Waiver Program Director 205-264-8423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-04-27 |