| NPI | 1053919647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALANN WEISSMAN-WARD President 800-505-5972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TH0004X Psychologist, Health | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-11-25 |