| NPI | 1679049399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY SUSAN DUKE Therapist 205-649-0344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2018-10-19 |