Organization
WAVE WOMEN WHO ARE VICTORIOUS OVER EATING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAVISTA V SMITH (DIRECTOR)
(334) 202-6950
Entity
Organization
Contact information
Practice address
2421 PRESIDENTS DR STE B-21, MONTGOMERY, AL 36116-1632
(877) 845-7560
Mailing address
2421 PRESIDENTS DR STE B-21, MONTGOMERY, AL 36116-1632
(877) 845-7560
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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