| NPI | 1801082839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY S INGRAM Administrator 334-669-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: AL 2183psy) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2008-04-20 |