| NPI | 1285204461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BOLTON Proprietor 256-291-7221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2021-08-10 |