| NPI | 1912211798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA L VACTOR Executive Director 256-715-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 1692C) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-08-04 |