| NPI | 1932942497 |
|---|---|
| Doing Business As | RADICALLYBLENDED SERVICES, PLLC |
| Entity Type | Organization |
| Authorized Contact | KEISHA J WALKER MATHEW Owner 872-763-4405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-06-13 |