| NPI | 1669863510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL LYNNE DUMELOW Office Manager 251-626-4629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 0144C) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |