| NPI | 1962905034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALILA M. BASS Clinical Director/Owner 205-276-4971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 3946C) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2022-08-15 |