| NPI | 1689442600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIGHTRESS AARON CEO 334-293-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 101YM0800X Counselor, Mental Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2023-12-19 |