| NPI | 1649395005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE M MASTROMONICO Director, Counselor 256-539-9720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL 1703) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |