| NPI | 1023861572 |
|---|---|
| Doing Business As | HER SPACE THERAPY |
| Entity Type | Organization |
| Authorized Contact | CYLA G FISK Owner 626-681-3283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2024-04-05 |