NPI | 1073066148 |
---|---|
Former Legal Business Name | ELEMENTS FAMILY THERAPY |
Entity Type | Organization |
Authorized Contact | ANDREA HUDSON Co Owner 319-385-1665 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: IA 000394) |
251S00000X Community/Behavioral Health (Licence: IA 000426) | |
Enumeration Date | 2016-07-25 |
Last Update Date | 2025-07-24 |