| NPI | 1790091593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY L MASHBURN Clinical Director 205-276-2419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 2445) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2010-08-31 |