| NPI | 1376232041 |
|---|---|
| Doing Business As | STAND TALL HEALING CENTER |
| Entity Type | Organization |
| Authorized Contact | KAYODE J WEMIMO Administrator 623-414-7715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-06-05 |