| NPI | 1477913341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SAMUEL MARSHALL Owner/Counselor 251-342-7066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 1731) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |