| NPI | 1215530704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODDESTY K LANGHAM Licensed Professional Counselor 205-528-8162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2021-01-02 |