| NPI | 1659793206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CAUDLE Cbo Director Of Patient Accounts 256-880-3339 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV NV20141007166) |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-01-21 |