| NPI | 1629421656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MARKLEY PEEVY Counselor 205-910-2925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AL 3538) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |