| NPI | 1124705587 |
|---|---|
| Doing Business As | WALLACE ANDREWS |
| Entity Type | Organization |
| Authorized Contact | WALLACE CLYDE ANDREWS Bht/Facilitator/Wellness Coach 480-925-1393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 102X00000X Poetry Therapist |
| 171400000X Health & Wellness Coach | |
| 225800000X Recreation Therapist | |
| 253Z00000X In Home Supportive Care | |
| 282J00000X Religious Nonmedical Health Care Institution | |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2023-06-29 |