| NPI | 1174244263 |
|---|---|
| Doing Business As | KAVANAUGH THERAPY, INC. |
| Entity Type | Organization |
| Authorized Contact | ANYA KAVANAUGH Owner 424-247-6010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2024-02-06 |