| NPI | 1235398801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE ANTHONY HOOVER Chief Executive Officer 1800-955-7938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PA PS008756L) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |