| NPI | 1841789294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH EASLEY CEO 334-791-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |