NPI | 1770165482 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXANDRA LEE VERICKER Owner/Therapist 870-307-3624 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2021-04-22 |
Last Update Date | 2021-04-22 |