Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X |
| NPI # | 1215732029 |
| LBN Legal business name | SMO UNLIMITED |
| Authorized official | SETH O'STEEN - (TRUSTEE) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/17/2025 |
| Last updated | 02/17/2025 - More than a year ago |
| Identifiers | n/a |
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