| NPI | 1255405908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA W. RAGLAND Director 256-461-8580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL LMFT99) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AL LMFT) |
| 106H00000X Marriage & Family Therapist (Licence: AL LMFT110) | |
| 106H00000X Marriage & Family Therapist (Licence: AL LMFT126) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2011-03-21 |