| NPI | 1619596145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA DENISE ACOFF Executive Director 334-329-8375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |