| NPI | 1104193697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILL JOHNSON Administrative Director 256-497-1790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AL 0093-2342c) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2024-04-26 |