| NPI | 1669216446 |
|---|---|
| Other Name | LILLIAN'S REST |
| Former Legal Business Name | RESELL REVIVAL |
| Entity Type | Organization |
| Authorized Contact | LEORA WILLIAMS Owner/ Administrator 916-216-6968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-06-25 |