NPI | 1144091687 |
---|---|
Former Legal Business Name | CENTERED LIVES PLLC |
Entity Type | Organization |
Authorized Contact | DAISY MARIE SWANSON Owner 509-821-0947 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-01-12 |
Last Update Date | 2024-01-31 |