| NPI | 1396514089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON TREADWELL Licesnced Professional Counselor 256-553-9214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-12-22 |
| Last Update Date | 2023-12-22 |