NPI | 1467020891 |
---|---|
Doing Business As | WILLOW GRACE WELLNESS CENTER LLC |
Entity Type | Organization |
Authorized Contact | TANGIE MARTIN MACON Therapitst 205-613-0764 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2021-06-13 |
Last Update Date | 2021-06-13 |