NPI | 1043631351 |
---|---|
Doing Business As | YOUR TIME TO THRIVE |
Entity Type | Organization |
Authorized Contact | EVONNE LANAE STEPHENSON Director 618-292-1663 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 103T00000X Psychologist |
104100000X Social Worker | |
225700000X Massage Therapist | |
Enumeration Date | 2014-01-05 |
Last Update Date | 2022-04-29 |