| NPI | 1811688021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP SMITH Dir. 205-583-6661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2025-08-26 |