| NPI | 1639575426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | G TEAL DICK Owner/Director 205-389-2079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 1489) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |