| NPI | 1700402955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RUSSELL ADAMS C RN P/ Owner 334-456-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2021-08-23 |