| NPI | 1053447615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN THOMAS SANDY Partner 256-880-7173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 320) |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker (Licence: AL 0079C) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |