| NPI | 1861915126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARIKA N PRUITT Licensed Professional Counselor 256-393-0705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL 3735) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |