| NPI | 1134813991 |
|---|---|
| Doing Business As | FUENTE DE VIDA |
| Entity Type | Organization |
| Authorized Contact | PERLA SANCHEZ COO 725-204-8809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225400000X Rehabilitation Practitioner | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2026-01-20 |