| NPI | 1629811310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA R ELDRIDGE Owner 501-300-7456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2026-03-13 |