| NPI | 1467082651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUANDA WIGGINS Owner/Therapist 334-245-3361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2022-11-28 |