| NPI | 1942991369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL K GANN Clinical / Executive Director 256-746-3626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-05-17 |