| NPI | 1225777386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY YATES Owner 256-542-1482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2025-07-14 |