| NPI | 1497406136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA LYNN BERRY Primary Practitioner 256-801-9162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2022-05-25 |