| NPI | 1619757242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PORTERFIELD Owner Clinical Social Worker 334-587-1923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |