NPI | 1245720473 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY LYNN SMITH Owner, Therapist 205-625-3701 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: AL 3337) |
Enumeration Date | 2018-05-14 |
Last Update Date | 2018-05-14 |