| NPI | 1952144701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALANDRA TAIASHA ROGERS Ccbhc State Project Director 334-353-4396 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-06-18 |