| NPI | 1689790495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. WALTER JACOBS President 334-794-5467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 1377) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AL 325) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |