| NPI | 1922585686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICITY NEICOLE BLUNT Lpc/Manager 205-632-2098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3119) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |