Organization
INNOVATIVE SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONJA SALLET LPC (EXECUTIVE DIRECTOR)
(334) 241-8391
Entity
Organization
Contact information
Practice address
1826 W 5TH ST, MONTGOMERY, AL 36106-1516
(334) 241-8391
(334) 241-7094
Mailing address
1826 W 5TH ST, MONTGOMERY, AL 36106-1516
(334) 241-8391
(334) 241-7094
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2961
AL
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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