| NPI | 1720542327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PAUL RUFFIN Owner 256-468-4385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2021-01-25 |