| NPI | 1831888593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHUNDRA R MESUMBE CEO 256-457-8948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 251B00000X Case Management | |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2024-02-20 |