| NPI | 1982093241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT TYLER WILKINSON Director 334-498-2289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA 008029) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |