NPI | 1003574625 |
---|---|
Doing Business As | LISA DOSS |
Entity Type | Organization |
Authorized Contact | STEPHANIE GIBSON Manager 706-638-5580 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2021-12-01 |
Last Update Date | 2021-12-01 |