| NPI | 1386006534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHUA BERRY DENNIS Licensed Profession Counselor 256-225-8769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AL 3488) |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2016-07-06 |