| NPI | 1497473870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN ODOM Licensed Professional Counselor 251-379-9434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2022-08-22 |