| NPI | 1699356725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTINA ANNICE HINTON Counselor 335-457-0261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-04-22 |