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 |