NPI | 1265820831 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE DENTON LAWRENCE Owner 256-740-1865 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3126) |
Enumeration Date | 2015-01-05 |
Last Update Date | 2015-01-05 |