| NPI | 1720971500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZESHA MACLAREN Owner 334-470-8335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-05-31 |
| Last Update Date | 2025-07-16 |