| NPI | 1245780360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WALTER UNDERWOOD CEO/Owner/Licensed Psychotherapist 251-200-1567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL 437) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |