| NPI | 1932860061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYSHELLE WILSON Social Worker/Therapist 205-821-6754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2021-12-30 |