| NPI | 1225713415 |
|---|---|
| Doing Business As | AUTHENTIC THERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | ALEXIS MARX Owner 656-600-7443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-06-16 |