| NPI | 1750040804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL M. RODRIGUEZ President 256-457-8623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2021-12-15 |