| NPI | 1932631116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE MATTISON Owner/Therapist 205-612-0902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 10186313-6004) |
| Additional Taxonomies | 251S00000X (Licence: UT 10186313-6004) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |