| NPI | 1013696913 |
|---|---|
| Doing Business As | JWV |
| Entity Type | Organization |
| Authorized Contact | ALISSA MICHELLE ZETLMAIER President/CEO 909-744-2342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |