| NPI | 1154298461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN WORTH POIROUX HARVEY Licensed Professional Counselor 251-272-9007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2025-10-21 |