| NPI | 1811431109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY CALVERT Business Manager 205-918-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 1961) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2017-02-16 |