| NPI | 1104302579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MCMANUS Licensed Professional Counselor 251-202-5655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 1506) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |