| NPI | 1679130488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI TARA JONES Licensed Professional Counselor 205-915-2431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-06-04 |