NPI | 1023855434 |
---|---|
Entity Type | Organization |
Authorized Contact | TODD ANDREW THAMES President 800-997-6196 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 101Y00000X Counselor |
104100000X Social Worker | |
Enumeration Date | 2024-07-12 |
Last Update Date | 2024-10-16 |