| NPI | 1073666244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANGELA VICKERS Lmft 256-881-5352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2015-02-12 |