| NPI | 1275189094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS LESTER MCLURE Owner 205-910-6955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |