| NPI | 1972982460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHAN CIESZKOWSKI Office Manager 256-656-7446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AL 22335) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |