Organization
THE MENDING PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA BOLDEN (OWNER)
(334) 790-2133
Entity
Organization
Contact information
Practice address
113 E FONTANA CIR, DOTHAN, AL 36305-8301
(334) 790-2133
Mailing address
113 E FONTANA CIR, DOTHAN, AL 36305-8301
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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