| NPI | 1811374507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA RYAN HOWELL Owner 256-686-9195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL C2421A) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2023-09-27 |