| NPI | 1992995054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFONZA SMITH Executive Director 334-298-0782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AL 031801) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AL 031801) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |