NPI | 1649544453 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTHA BRUNER ELLIS Owner 334-358-2455 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 1835) |
Enumeration Date | 2012-02-27 |
Last Update Date | 2012-02-27 |