| NPI | 1114673597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESTINI LOVE CEO 205-966-3847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-03-01 |