| NPI | 1982074639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN ROSS MOORE Medical Director 205-425-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: AL AL30077) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |