NPI | 1275381618 |
---|---|
Entity Type | Organization |
Authorized Contact | DREW STEVEN KELLOUGH Owner 205-789-0459 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2024-05-09 |
Last Update Date | 2024-05-09 |