| NPI | 1265083331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCY JEFFERSON WATKINS Senior Program Director 256-489-4696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |