| NPI | 1184136616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH A THOMPSON Owner 256-239-0314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 1206-1538C) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2018-06-16 |