| NPI | 1275019929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE EDWARDS Lpc/CEO 251-447-3703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AL 2306) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |