| NPI | 1972868594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BURNS BYRUM Owner Of Private Practice 251-300-7861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL 341) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |