Organization
TAYLOR MADE IV ENTERPRISES INC
Active
Parent organization
TAYLOR MADE IV ENTERPRISES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TAYLOR MADE IV ENTERPRISES INC
Authorized official
MALCOLM TAYLOR III (CEO/OWNER)
(256) 337-0177
Entity
Organization
Contact information
Practice address
13781 PULASKI PIKE, ARDMORE, AL 35739-9520
(256) 337-0177
Mailing address
13781 PULASKI PIKE, ARDMORE, AL 35739-9520
(256) 337-0177
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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