| NPI | 1023870094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENTON LIPSCOMB Chair Person 256-345-9006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-03-15 |