| NPI | 1770090151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE CALHOUN Counselor 251-518-9240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 980) |
| Enumeration Date | 2018-01-07 |
| Last Update Date | 2018-01-07 |