| NPI | 1992075436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIE RIOS Therapist 334-480-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL 1646) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2012-09-18 |