| NPI | 1609234681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYANNA MOLINA Counselor 334-531-4721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 5131) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |