| NPI | 1114665213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WOOD DAVIDSON Clinical Operations 205-585-2689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 171400000X Health & Wellness Coach | |
| 175T00000X Peer Specialist | |
| 221700000X Art Therapist | |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-05-26 |