| NPI | 1720265440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON POLSON Vice President/ Co Owner 205-447-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL 2224G) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-01-24 |