| NPI | 1104412725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARMEL LAURENE MAYO Owner 205-202-0383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2020-12-17 |