| NPI | 1710350111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA KELLEY Owner 334-701-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3436) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: AL 3436) | |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2015-11-06 |