| NPI | 1831618925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAELA BETH WHITEHEAD Owner 256-808-9116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3740) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2025-01-09 |