| NPI | 1356054027 |
|---|---|
| Former Legal Business Name | DR LATISHA DAILEY LLC |
| Entity Type | Organization |
| Authorized Contact | LATISHA DAILEY Mental Behavior 251-359-6459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2022-12-27 |