NPI | 1023344454 |
---|---|
Doing Business As | PROFILE EAP |
Entity Type | Organization |
Authorized Contact | WILLIAM H. BRAY Therapist 719-635-1825 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: CO 5267) |
Enumeration Date | 2009-10-20 |
Last Update Date | 2009-10-20 |