NPI | 1134554264 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC B. AVERETTE Counselor/Director 256-770-7337 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 2076C) |
Enumeration Date | 2013-09-09 |
Last Update Date | 2013-09-09 |