| NPI | 1730905365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY MCKINNON O Wner 256-744-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-11-27 |
| Last Update Date | 2024-11-27 |