| NPI | 1780181362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON PHILLIP SHAFFER Owner 256-714-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3858) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2022-03-23 |