| NPI | 1982119079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD E DOUGLAS Owner/ Therapist 205-266-1375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 2859) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2018-06-16 |