NPI | 1568240604 |
---|---|
Doing Business As | INTENTIONAL LIVING, LLC |
Entity Type | Organization |
Authorized Contact | KRYSTLE TINSLEY Owner 301-659-6162 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2023-09-19 |
Last Update Date | 2023-09-19 |