| NPI | 1548726532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN R BORDEN Licensed Professional Counsleor 205-937-8668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-02-14 |