| Wave Women Who Are Victorious Over Eating, Llc | |
|
2421 Presidents Dr Ste B-21 Montgomery AL 36116-1632 | |
| (877) 845-7560 | |
| Not Available |
| Full Name | Wave Women Who Are Victorious Over Eating, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2421 Presidents Dr Ste B-21, Montgomery, Alabama |
| Authorized Official Name and Position | Lavista V Smith (DIRECTOR) |
| Authorized Official Contact | 3342026950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wave Women Who Are Victorious Over Eating, Llc 2421 Presidents Dr Ste B-21 Montgomery AL 36116-1632 Ph: (877) 845-7560 | Wave Women Who Are Victorious Over Eating, Llc 2421 Presidents Dr Ste B-21 Montgomery AL 36116-1632 Ph: (877) 845-7560 |
| NPI Number | 1699139766 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 04/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699139766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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