| NPI | 1740559020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMIAH PRECIOUS BARNETT Owner 334-354-2939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL 446214) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |