| NPI | 1629705918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORDIA COLEMAN LEE Therapist/Owner 251-359-1904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2022-08-05 |