| NPI | 1346617974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VEL FYLISE WILLIAMSON Owner 251-545-1480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 3251) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-08-31 |