Organization
EXTENDED FAMILY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAVORIS MICHELLE WILLIAMS MA (LICENSED PROFESSIONAL COUNSELOR)
(205) 910-8762
Entity
Organization
Contact information
Practice address
2300 CENTER WAY S, BIRMINGHAM, AL 35205-6728
(205) 910-8762
(205) 777-4023
Mailing address
2300 CENTER WAY S, BIRMINGHAM, AL 35205-6728
(205) 910-8762
(205) 777-4023
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
AL
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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