| NPI | 1619756251 |
|---|---|
| Former Legal Business Name | WINGS OF HEALING & HOPE, LLC |
| Entity Type | Organization |
| Authorized Contact | BRITTNEY T. TATUM Managing Member/Owner 469-984-9980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-09-25 |