| NPI | 1154624609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERI KYLE Office Manager 205-933-0388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 1118) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2010-12-06 |