| NPI | 1154710648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK MCQUITERY Partner 205-919-0870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL C2360A) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-21 |