| NPI | 1861921033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIE LEDBETTER Clinical Psychologist 256-489-1293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2020-01-23 |