Organization
H3O LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH R FRITCHLEY MDIV, LCSW (OWNER, THERAPIST)
(309) 242-7750
Entity
Organization
Contact information
Practice address
29000 U.S. 98, DAPHNE, AL 36526
(251) 626-5797
Mailing address
1015 N ALSTON ST, FOLEY, AL 36535-3513
(309) 242-7750
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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