NPI | 1396131108 |
---|---|
Entity Type | Organization |
Authorized Contact | KRESLYN NICHOLE KELLEY-ELLIS President/CEO 256-288-3281 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 251S00000X (Licence: AL LPC1530) |
Enumeration Date | 2015-04-08 |
Last Update Date | 2015-04-08 |