| NPI | 1316794696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE C DILLARD CEO 256-631-5410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional | |
| 102L00000X Psychoanalyst | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-05-03 |