| NPI | 1326080003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE ADELE NIXON Operations Manager 334-262-7787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-10-09 |