| NPI | 1710274741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN EMMANUEL HANOVER Sole Proprietor 205-767-0564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AL MD.29132) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |