| NPI | 1629811310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA R ELDRIDGE Owner 501-300-7456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2025-09-25 |