| NPI | 1801305750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCI BLACKSHEAR Psychotherapist 256-361-5343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AR 7067-C) |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2017-09-22 |