| NPI | 1184503492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ROTH Owner/Therapist 385-208-6197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-08-29 |
| Last Update Date | 2025-08-29 |