| NPI | 1093088908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY PAUL FAULK President 334-794-2113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL 151) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |