| NPI | 1821461005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDOLPH MARTIN CEO 334-614-0959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005656) |
| Additional Taxonomies | 251S00000X (Licence: GA LPC005656) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |