| NPI | 1932215167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM PATRICK VEST Executive Director 334-262-2953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AL 031802) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AL 644) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-06-16 |