| NPI | 1336659796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW LAIRD HURLEY Owner/Clinician 251-648-0437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3350) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2018-06-16 |