| NPI | 1972117448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTON GREGERSON Chief Operating Officer 256-458-3201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261Q00000X Clinic/Center | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 101Y00000X Counselor | |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |