| NPI | 1962831792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY MALONE Owner 256-770-7339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL 21) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 0772B) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |