| NPI | 1730614595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W COUCHOIS Certified Peer Support Specialist 205-306-1119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA DBSA101YA0400X) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |