| NPI | 1740623701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA TUCKER Vice President/Secretary 334-797-5879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 2595) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2017-05-10 |