| NPI | 1801256458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE WALLER Administrator 256-312-8988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-26 |