| NPI | 1073150884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN HUNTER Owner 334-219-0425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service |
| Additional Taxonomies | 103TH0004X Psychologist, Health |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2019-11-30 |
| Last Update Date | 2019-11-30 |