| 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 |