| NPI | 1922512888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH SUE DORRIS Owner/Provider 334-676-3488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AL 1384) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2022-08-03 |