| NPI | 1902061377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN JAY PAUL-STEVENS President/Shareholder 334-308-3206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL 12328) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |