| NPI | 1336936913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY WINGO Mental Health Counselor 205-222-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-04-24 |