| NPI | 1104670975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM-GLENN LANGLEY HOLLINGSWORTH Therapist 251-202-3877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-04-16 |