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 | 101YM0800X Counselor, Mental Health (Licence: AL 2392) |
Enumeration Date | 2018-07-13 |
Last Update Date | 2025-10-08 |