NPI | 1881607554 |
---|---|
Entity Type | Organization |
Authorized Contact | TOBEY ROBERTSON Administrator 256-381-3520 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AL 00023269) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2020-08-22 |