| NPI | 1003563917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY WARD Licensed Professional Counselor 205-825-1423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2024-12-15 |