| NPI | 1811432701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL THOMAS VENEZIA Mental Health Care Counselor 256-652-6223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AL 3661) |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2016-12-30 |