| NPI | 1265058010 |
|---|---|
| Other Name | INBETWEEN LIVING |
| Entity Type | Organization |
| Authorized Contact | DYNASTY ROCHELLE HOLLAND Owner 210-269-9715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 251S00000X | |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |