NPI | 1932685864 |
---|---|
Entity Type | Organization |
Authorized Contact | CARRIE HALLADAY Owner 256-282-3885 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 2392) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AL 2392) |
101YM0800X Counselor, Mental Health (Licence: AL 2392) | |
Enumeration Date | 2018-07-13 |
Last Update Date | 2018-07-13 |