| NPI | 1730689738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA TIPPIT Therapist 256-346-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AL 2745) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AL 2745) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |