| NPI | 1619368875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA COOPER Executive Director 334-749-2996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |