| NPI | 1851840391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE THOMAS PRUETT Owner 205-912-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 2443) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |