| NPI | 1457712622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH G LAW Owner/Counselor 251-450-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 345) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN P0000001064) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |