| NPI | 1851463269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MCGILL Billing Clerk 256-737-1915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 235Z00000X Speech-Language Pathologist, (Licence: AL 1449) | |
| 225X00000X Occupational Therapist (Licence: AL OTO266) | |
| 225100000X Physical Therapist (Licence: AL PTH1597) | |
| 225100000X Physical Therapist (Licence: AL PTH3944) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |