| NPI | 1598510349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALESHA B BOOTH Chief Financial Officer 334-464-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-04-23 |