| NPI | 1720464498 |
|---|---|
| Doing Business As | THE BALANCED LIFE LLC |
| Entity Type | Organization |
| Authorized Contact | JESSICA DAWN CLEVELAND Licensed Counselor 256-603-1381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: AL 2919) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |