| NPI | 1114586286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIDA LEWIS Marriage And Family Therapist 334-517-8036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |