| NPI | 1134666431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MARIE WILLIAMS Associate License Counselor/Owner 205-940-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AL C2310P) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |