| NPI | 1750480752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FAILE Admin 205-349-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |