| NPI | 1699170944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE SHANDRELL JOHNSON Therapist 205-381-0929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 3600c) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 2920) |
| 101YP2500X Counselor, Professional (Licence: AL 2972) | |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-30 |