| NPI | 1215591318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN HASE Co Owner 256-937-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-06-11 |