Organization
AUTISM SPECTRUM COUNSELING CENTER INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GERRI TAYLOR ALC (DIRECTOR)
(334) 868-1589
Entity
Organization
Contact information
Practice address
2358 FAIRLANE DR BLDG G, MONTGOMERY, AL 36116-1604
(334) 868-1589
Mailing address
1219 S PERRY ST, MONTGOMERY, AL 36104-5533
(334) 868-1589
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1774A
AL
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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