NPI | 1730258021 |
---|---|
Entity Type | Organization |
Authorized Contact | MALVIA G FRYE Business Office Manager 334-566-6022 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2020-08-22 |