| NPI | 1104511062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WOLANZYK Owner, Therapist 256-431-8190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2023-04-18 |