| NPI | 1679088033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGGIE ARDALE PARKER Director 205-613-0214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AL 3338) |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |