| NPI | 1235020678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAWONNA RENEE ABNER Counselor 334-544-7665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-07-14 |