| NPI | 1629646336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MARK EDWARDS CFO 205-721-3570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2023-10-02 |