| NPI | 1619365814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OTIS JEROME WASHINGTON President 256-630-0156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL 3685C) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2014-12-23 |