| NPI | 1932898772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA D'ANGELIS Clinical Social Worker 256-258-9211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-05-08 |