| NPI | 1639775711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL DUFFEY Executive Director 334-408-4689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QR1100X Clinic/Center Research | |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2020-12-05 |
| Last Update Date | 2023-08-15 |