| NPI | 1710132402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANN MARIE BRAKKE Counselor 205-979-0699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL 518) |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2008-11-21 |