| NPI | 1922666007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY HARKINS JACKSON Owner/Counselor 256-624-7045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-09-27 |