NPI | 1306548177 |
---|---|
Former Legal Business Name | REBECCA STEWARD, LLC |
Entity Type | Organization |
Authorized Contact | REBECCA ANN STEWARD Owner 572-522-6838 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-03-17 |
Last Update Date | 2023-03-17 |