| NPI | 1750729646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN SLEDGE JACKSON Therapist 334-235-8158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 2160C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 0942-2160C) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-12 |