| 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 |