| NPI | 1205472727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDI H HOGUE Owner/Organizer 205-886-5124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |