| NPI | 1528414224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA HOLMBERG Owner/Counselor 334-546-8970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL 2136) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |