| NPI | 1972022721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL ELAINE MULLEN-JOHNSON Owner 205-913-6078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 1332-3980C) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |