NPI | 1255907903 |
---|---|
Doing Business As | LIVING AND BALANCE WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | MARIE DAVIS CEO 602-314-6312 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2021-06-02 |
Last Update Date | 2024-07-31 |