NPI | 1629452065 |
---|---|
Entity Type | Organization |
Authorized Contact | ELLA BENNETT BEVIS Counselor 256-760-1211 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3287) |
Enumeration Date | 2015-07-15 |
Last Update Date | 2018-03-17 |