| NPI | 1790476455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA LANDIS Licensed Professional Counselor 205-790-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-05-15 |