| NPI | 1346839073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHEENA DAVIS Owner/Provider 205-206-6977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 305R00000X Preferred Provider Organization | |
| Enumeration Date | 2021-01-17 |
| Last Update Date | 2023-01-19 |