| NPI | 1225205347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER P. WHITE Executive Director 334-270-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 1166C) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 2462) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |