| NPI | 1851762009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNELLE WARREN Clinical Psychologist 334-808-8991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3455) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |