| NPI | 1700622511 |
|---|---|
| Doing Business As | INNERRIDDLE |
| Former Legal Business Name | INNERRIDDLE |
| Entity Type | Organization |
| Authorized Contact | LISA E STILL Owner 772-349-8876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-02 |