| NPI | 1174885602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARANCH HENRY EDDINGS Head Psychologist 251-414-5852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL ALA984) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-06-11 |