NPI | 1861983298 |
---|---|
Entity Type | Organization |
Authorized Contact | RENEE' FULMER DAUGHTRY Lpc/Managing Member 334-372-0346 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3485) |
Enumeration Date | 2018-05-21 |
Last Update Date | 2018-05-21 |