| NPI | 1215310354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHYLL DEMPSEY CEO 888-524-5122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA PSY21261) |
| Additional Taxonomies | 251S00000X (Licence: CA PSY26626) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |