| NPI | 1467514208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE ELLEN KESLAR BULLOCK President Therapist 205-425-6395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 0496-1365C) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |