| NPI | 1326498122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MARIE PANNELL Therapist 256-682-2133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 1102-2296C) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |