| NPI | 1780120311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY CHEN Licensed Clinical Social Worker 256-658-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW12141) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-20 |