| NPI | 1083240220 |
|---|---|
| Doing Business As | CONSTELLATION THERAPY GROUP |
| Entity Type | Organization |
| Authorized Contact | CARRIE ROSALIE LANGENBACH President/CEO 323-627-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |