| NPI | 1861169583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL CHAPPELL GREENLAW Counselor 205-415-1418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-08-30 |