| NPI | 1720112014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA WICKS Executive Director 205-845-1097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |