| NPI | 1811764111 |
|---|---|
| Doing Business As | DR TIFFANY JUSTICE |
| Entity Type | Organization |
| Authorized Contact | TIFFANY M JUSTICE Owner 174-093-5408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2024-01-04 |