| NPI | 1245759448 |
|---|---|
| Doing Business As | AZALEA THERAPY AND CONSULTATION SERVICES |
| Entity Type | Organization |
| Authorized Contact | LAURA JENNINGS Owner 734-787-5872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2021-06-08 |