| NPI | 1942909726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIEL COVINGTON ELSTON Owner 205-202-9437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |