| NPI | 1043351836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRA BROWN Executive Director 251-602-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |