| NPI | 1861631962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA J COOPER Executive Director 334-321-0208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |