| NPI | 1235868993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AILU MACIEL BARRERA HERNANDEZ Director Of Administrative Operatio 256-929-5507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2022-06-17 |