| NPI | 1689449167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL DUFFEY Executive Director 334-408-4689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2025-01-28 |