| NPI | 1740567890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVORIS MICHELLE WILLIAMS Licensed Professional Counselor 205-910-8762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |